Pages: 1-2 (History & Vital Signs) - 10% + 3%

Question 1

INTERVIEW AND HEALTH HISTORY

Health history includes the following: _____, _____, _____ and _____?

Answer 1

chief complaint

past health history

personal and social history

review of symptoms (ROS)

Question 2

This covers the reason the patient is seeking care and should be obtained in the patient’s own words?

Answer 2

chief complaint

Question 3

PRESENT ILLNESS

The attributes of a symptom: _____? (“OPQRST”)

Answer 3

O = onset
P = palliative/provoking
Q = quality of pain
R = radiation/referral
S = site/setting/severity
T = timing

Question 4

If information is acquired during the history that indicates ALCOHOLISM, you should move to the _____ questions…!

Answer 4

CAGE

C = cutting down (Have you ever felt the need to Cut down on your drinking?)

A = annoyed by others criticisms (Have you ever felt Annoyed by Criticism of your drinking?)

G = guilty feelings (Have you ever felt Guilt about your drinking?)

E = eye openers (Have you ever felt the need for a morning Eye-opener drink?)

Question 5

This is a general exploration of the various organ systems of the body?

Answer 5

review of systems (ROS)

Question 6

HEIGHT AND WEIGHT

What is the BEST way to take a patients HEIGHT and WEIGHT?

Answer 6

with a standing platform scale with a height attachment

Question 7

TEMPERATURE

Normal Values
A.) Oral: \_\_\_\_\_?
B.) Rectal and Tympanic: \_\_\_\_\_?
C.) Axilla: \_\_\_\_\_?
D.) Range: \_\_\_\_\_?

Answer 7

A.) 98.6 F
B.) 99.6 F
C.) 97.6 F
D.) 96-99.5 F or 35-37.5 C

Question 8

PULSE

Normal Values
A.) Adults: _____?
B.) Newborn: _____?
C.) Elderly: _____?

Answer 8

A.) 60-100
B.) 120-160
C.) 70-80

Question 9

RESPIRATORY

Normal Values
A.) Adult: _____?
B.) Newborn: _____?

Answer 9

A.) 14-18

B.) 44

Question 10

BLOOD PRESSURE

Normal Values
A.) Adult: _____?

HYPERtension
B.) _____?

HYPOtension
C.) _____?

Answer 10

A.) 90-120/60-80
- Values INCREASE in the ELDERLY.

B.) over 140/90

C.) under 90/60

Question 11

When taking a palpatory systolic reading in patients who are hypertensive you should check for what?

Answer 11

auscultatory gap

Definition: the loss and reappearance of the pulsatile sound while listening with the stethoscope during cuff deflation

Question 12

These are low pitched sounds produced by turbulent blood flow in arteries?

Answer 12

korotkoff sounds

Question 13

A difference of _____ mm Hg in systolic reading can indicate arterial occlusion.

Answer 13

10-15 mmHG

Question 14

This condition has retrograde blood flow in the vertebral artery associated with proximal ipsilateral subclavian artery stenosis or occlusion, usually in the setting of subclavian artery occlusion or stenosis proximal to the origin of the vertebral artery?

Answer 14

subclavian steal syndrome

Question 15

Blood pressure readings are 20% HIGHER in what region of the body?

Answer 15

lower extremities

Question 16

Tests for Vertebrobasilar Artery Insufficiency

• Patient seated, examiner instructs the patient to rotate the head maximally from side to side. Done slowly at first than accelerated to patient tolerance.
  a. ) Hautant’s
  b. ) Underberg
  c. ) Barre-Lieou
  d. ) Maigne’s
  e. ) DeKleyn’s
  f. ) Hallpike

Answer 16

c.) Barre-Lieou

Question 17

Tests for Vertebrobasilar Artery Insufficiency

• Patient supine, examiner instructs the patient to rotate and extend the head off the table then turn to each side for 15-45 seconds. Doctor can lend minimal support.
  a. ) Hautant’s
  b. ) Underberg
  c. ) Barre-Lieou
  d. ) Maigne’s
  e. ) DeKleyn’s
  f. ) Hallpike

Answer 17

e.) DeKleyn’s

Question 18

Which of the following is lower in newborns then adults?

a. ) Pulse
b. ) Temperature
c. ) Respiratory rate
d. ) Blood pressure

Answer 18

d.) Blood pressure

Question 19

Which of the following people is most likely to suffer from Subclavian Steal Syndrome?

a. ) Painter
b. ) School bus driver
c. ) Weight lifter
d. ) Pregnant female

Answer 19

c.) Weight lifter

Question 20

What are the 2 BEST tests for Vertebrobasilar Artery Insufficiency?

Answer 20

1. ) Barre-Lieou

2. ) DeKleyn’s